Individual
MARIA EUSTOLIA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 291-4788
Mailing address
161 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN290229
CA
Other
Enumeration date
10/03/2016
Last updated
08/28/2025
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